急性压疮危险因素评估量表在心脏直视手术患者中的应用  

Application of the risk assessment scale for acute pressure ulcer on patients undergoing open heart surgery

作　　者：吴勤[1] 崔渝敏[1] 陈燕[1] 张薏[1] 董磊[1] 

机构地区：[1]成都军区总医院麻醉科,成都市610083

出　　处：《中华护理杂志》2009年第1期40-42,共3页Chinese Journal of Nursing

摘　　要：目的探讨急性压疮危险因素评估量表在心脏直视手术患者中的应用价值。方法应用急性压疮危险因素评估量表对110例体外循环下心脏直视手术患者进行压疮风险预测,并进行相关性分析。结果本组病例急性压疮危险因素评分≤14分者无急性压疮发生,≥18分者均发生急性压疮。经多元Logistic回归分析,量表中11个因素均与急性压疮发生有密切关系。进一步筛选后,血管活性药物、动脉氧分压和脉搏是体外循环下心脏直视手术中发生急性压疮最重要的预测因素。结论急性压疮危险因素评估量表对预测心脏直视手术患者术中急性压疮发生风险有应用价值。Objective To probe the application value of the risk assessment scale for acute pressure ulcer on patients under going open heart surgery. Methods The risk assessment scale for acute pressure ulcer was applied in 110 patients undergoing open heart surgery under extracorporeal circulation. Relationship between risk assessment score and the real incidence of acute pressure ulcer was analyzed. Results Among patients with risk assessment score ≤14 , no acute pressure ulcer had happened;and among patients with risk assessment score ≥18 , acute pressure ulcer had happened all. It demonstrated by Logistic regression analysis that all the 11 factors included in the assessment scale were signifieandy related with the incidence of acute pressure ulcer. After further screening,it was found that vaso-active substance,partial pressure of oxygen in arterial blood, and pulse rate were the most important factors for predicting the occurrence of acute pressure ulcer on patients undergoing open heart surgery. Conclusions The risk assessment scale is valuable for predicting the occurrence of acute pressure ulcer on patients undergoing open heart surgery under extracorporeal circulation.

关 键 词：心脏外科手术 压力性溃疡 危险性评估 个性量表 

分 类 号：R473.6[医药卫生—护理学]